MR. THEO JOSEPH BEACH JR.


Address: 3186 Village Dr Ste 201, Fayetteville, NC 28304-3979
Phone: 9104865700

MR. THEO JOSEPH BEACH JR. (NPI# 1710533286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710533286
Entity Type Individual
Full Name MR. THEO JOSEPH BEACH JR.
Credential PA-C
Practice Address 3186 Village Dr Ste 201
Fayetteville
NC 28304-3979
Practice Telephone 9104865700
Practice Fax Number 9104865950
Mailing Telephone 9104865700
Enumeration Date 2019-08-12
Last Update Date 2019-09-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
0010-09318 NC Allopathic & Osteopathic Physicians
Y 363A00000X Physician Assistant 0010-09318 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3186 VILLAGE DR STE 201
City FAYETTEVILLE
State NC
Zip Code 28304-3979

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275536815 David J. Allison Radiology 3186 Village Dr Ste 201, Fayetteville, NC 28304-3979 2005-05-27
1013357904 Bryan Nicholas Swilley Radiology 3186 Village Dr Ste 201, Fayetteville, NC 28304-3979 2013-06-25
1982943908 Guirguis Eskandar Radiology 3186 Village Dr Ste 201, Fayetteville, NC 28304-3979 2013-02-11
1487919502 Prasad B Patel Radiology 3186 Village Dr Ste 201, Fayetteville, NC 28304-3979 2012-07-05
1104142512 Pratish Ajay Shah Radiology 3186 Village Dr Ste 201, Fayetteville, NC 28304-3979 2010-04-09
1093723538 Valley Radiology, Pa Radiology 3186 Village Dr Ste 201, Fayetteville, NC 28304-3979 2006-08-03
1053392084 Gretchen Elizabeth Green Radiology 3186 Village Dr Ste 201, Fayetteville, NC 28304-3979 2005-11-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598301061 Coast To Coast Bilingual Counseling Social Worker 910 Hope Mills Road, Fayetteville, NC 28304 2019-11-20
1811530561 Frances L. Hurst Technician 6732 Carloway Dr, Fayetteville, NC 28304 2019-10-25
1538717764 Rose Mary A O'conner Technician 3530 Madison Ave, Fayetteville, NC 28304 2019-08-30
1932756087 Sally Frances Jones Technician 2053 Mango Circle, Fayetteville, NC 28304 2019-08-23
1326528803 Jeneen Yvette Townsend Counselor 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 2018-08-15
1780179580 Ma Cornelia Villavicencio Leano Nurse Practitioner 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 2018-06-25
1861986267 Pediatric After Hours Care of Fayetteville Pediatrics 556 Sandhurst Drive, Fayetteville, NC 28304 2018-06-19
1700386133 Good Night Medical of Ohio, LLC Durable Medical Equipment & Medical Supplies 405 Owen Dr Ste 202, Fayetteville, NC 28304 2018-02-12
1003321365 Valleygate Dental Surgery Center of Fayetteville, LLC Dentist 2038 Litho Place, Fayetteville, NC 28304 2017-12-08
1871004663 The Salt Project Marriage & Family Therapist 1611-b Owen Dr., Fayetteville, NC 28304 2017-10-19
Find all providers in zip 28304

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306443387 Melissa Macneil Spencer Physician Assistant 810 Knighthood Cir, Fayetteville, NY 13066-8721 2020-10-03
1366067548 Prathna Raval Physician Assistant 6808 Thames Dr, Fayetteville, NC 28306-2524 2020-06-12
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1144858515 Mackenzie Anna Kirchner Physician Assistant 568 Sandy Creek Rd, Fayetteville, GA 30214-4205 2020-03-31
1770116931 Chasity Nicole Sullivan Physician Assistant 202b Highland Ave, Fayetteville, NC 28305-5308 2020-02-17
1740812833 Madeline Everitt Monday Physician Assistant 705 Stonington Dr, Fayetteville, NC 28311-0329 2020-02-07
1396375325 Lisa Ann Gross Physician Assistant 3007 Town Center Dr Ste 100, Fayetteville, NC 28306-3663 2020-01-17
1811536048 Kelly Hamilton Sweatt Physician Assistant 1991 Fordham Dr Ste 200, Fayetteville, NC 28304-3774 2020-01-06
1922563667 Reandy Nicole Hearn Physician Assistant 2911 Breezewood Ave Ste 100, Fayetteville, NC 28303-5464 2019-02-06
1790259430 Cassandra Ann Nebosky-diaz Physician Assistant 659 Daharan Dr, Fayetteville, NC 28314-6538 2019-01-16
Find all providers in FAYETTEVILLE

Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 28304

Improve Information

Please comment or provide details below to improve the information on MR. THEO JOSEPH BEACH JR..

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches